Ọria oria ojoo bu oria di uku nke ejiri mara mmepe nke usoro mkpali na pancreas. Enwere uzo abuo maka oria a - nnukwu oria na ala ala.
Ọ bụ ụdị ọrịa a na-ebute nke atọ n'etiti nsogbu ndị ọzọ na-akpata nnukwu ọrụ na akụkụ nke afọ. Ihe ngosi a na-egosi ụdị ọrịa ahụ na-enye ọgwụgwọ zuru oke n'ụlọ ọgwụ. Ọ bụrụ na anyị na-ekwu maka ebe abụọ mbụ ahụ, mgbe ahụ, ha gara nnukwu appendicitis na cholecystitis.
Dabere na ọnụ ọgụgụ, na otu afọ, site na mmadụ 200 ruo 800 site na nde mmadụ niile bi na mbara ala na-enweta ọrịa plọg. Dịka iwu, ụmụ nwoke na-arịa ọrịa ahụ. Afọ ha nwere ike ịdị n’agbata afọ iri atọ na asaa na iri asaa na asaa, mgbe ọ na-adịkarị mkpa ka a na-ahụ maka ọgwụ a na-agwọ ọrịa pancreatitis
Ihe ga-eme tupu ihe a emee ya ezigbo njọ bụ ọrịa ọ na-akpata
Enwere ọtụtụ ihe kpatara na-akpalite mmepe nke nnukwu ọrịa pancreatitis:
- ị excessiveụbiga mmanya ókè;
- riri ahụ riri oke nri nke abụba na nri na-egbu egbu;
- ọrịa ọnya;
- ọrịa na nje dị iche iche ma ọ bụ ọrịa nje;
- ọnya afọ dị iche iche;
- Ihe ogwugwo ogwu nke metụtara ogwu ndi ozo;
- na-a drugsụ ọgwụ ndị ahụ nwere mmetụta na-efe efe na ahụ, yana ọgwụ ụfọdụ: thiazide diuretics, corticosteroids, estrogens, azathioprine;
- ihe ojoo site na pancreas, fiystrosis cystic;
- Usoro mbufụt na usoro nri (ịba ọcha n'anya, cholecystitis, gastroduodenitis).
E nwere usoro a ma ama gbasara mmepe nke ọrịa pancreatitis, nke na-ekwu na isi ihe kpatara ọrịa a bụ mmebi mkpụrụ ndụ n'ihi oke enzymes n'oge, mana nke a anaghị ewepu mkpa maka ọgwụgwọ oge ọria.
N'ọnọdụ dị mma, gland ga-emepụta ya ma ọ bụrụ na enweghi ọrụ, wee bido ime ihe ọ bụla ma ọ gafesịa usoro nri. N'okpuru mmetụta nke ihe ndị dị na mpụga, yana ọnọdụ pathological, usoro niile maka imepụta ihe na-echegbu onwe ya.
Enzymes na-amalite ịrụ ọrụ n’ime pancreas n’onwe ya (site na ịmalite usoro nke igwu-onwe ya n’onwe ya), nke na-ebute mkpa ọgwụgwọ. N'ihi ya, a ga-amalite ọgwụgwọ nke ọrịa pancreatitis dị ala ozugbo enwere ike. Ihe si na onu a puta bu:
- akụkụ anụ ahụ na-agbanwe;
- usoro mkpali;
- mmebi na arịa nke parenchyma.
Ọnọdụ pathologies n'oge nnukwu ọrịa pancreatitis nwere ike gbasaa na anụ ahụ gbara gland (retroperitoneal tissue, omental bursa, mesor nke eriri afọ, yana peritoneum na omentum).
N’inwe usoro mmekpa ahụ nnukwu, ọnụego ihe ndị na-arụ ọrụ n’ime ihe ndị na-arụ ọrụ n’ime ọbara na-abawanye nke ukwuu, nke na-aghọrọ ihe ga-eme ka nsogbu ghara ịba n’ime ahụ. Na nke a, ọgwụ ọgwụ naanị nwere ọgwụ analgesic agaghị arụ ọrụ.
Pesdị Ọrịa Pancreatitis
Dabere na ogo ahụ, enwere ike ekewa ọrịa pancreatitis:
- dị fechaa. Ọ nwere ike ime ya na obere mmebi ahụ dị n'ime, a na - egosipụta ya naanị site na ọriaji eluji. Uzo di omimi nke oria anakpo pancreatitis nke oma n’inye ọgwụgwọ nke oma, prognosis bu ihe diri nma;
- dị arọ. Formdị ọrịa a metụtara mmepe nke nsogbu dị iche iche na anụ ahụ ma ọ bụ akụkụ dị n'akụkụ pancreas. Na mgbakwunye, nsogbu nwere ike ịbụ nke mpaghara ma gosipụta dịka necrosis anụ ahụ, cystic neoplasms, ọnya afọ, ma ọ bụ ọrịa.
Ahụhụ siri ike nke nnukwu pancreatitis nwere ike ibute:
- nnukwu mkpokọta nke exudate n'ime ahụ ma ọ bụ oghere gburugburu ya;
- pancreatic necrosis na ohere nke ọrịa anụ ahụ. Mpaghara a kpaara ókè ma ọ bụ wụfuo nke parenchyma na anụ ahụ nwere nsogbu nwere ike ibilite. Na mgbakwunye, ọrịa ọrịa na mmepe nke puselent pancreatitis nwere ike isonye, nke ọtụtụ oge na-eme ka ohere nke nsonaazụ na-egbu egbu belata;
- nnukwu ụgha cystic kpụworo. Ihe ọ juiceụụ pancreatic na-agbakọ na gburugburu mgbidi ma ọ bụ ọkwa ya. Ọnọdụ a nwere ike ịme n'ihi ọgụ nke nnukwu ọrịa ụjọ;
- etuto umeji. Pus na-agbakọta na pancreas n'onwe ya ma ọ bụ na anụ ahụ gbara ya gburugburu.
Ihe ịrịba ama nke nnukwu pancreatitis
E nwere ihe mgbaàmà njiri mara nke nnukwu pancreatitis. Nke mbu, obu oria mgbu. Ọ nwere ike imerụ ahụ na epigastrium ma ọ bụ n'okpuru ọgịrị ekpe. Naturedị ihe mgbu ahụ bụ shingles, ma nwee ike ịkwaga n'okpuru scapula aka ekpe. Ọ nwere ike na-afụ ụfụ mgbe niile, na ọkachasị mgbe ị dina ala na azụ gị. Mmetụta ndị na-adịghị mma na-akawanye njọ ma ọ bụ mgbe ha riri nri abụba, ghere eghe ma ọ bụ nke na-ekpo ekpo.
Ọrịa pancreatitis na-egbu egbu nwere ike igosipụta onwe ya na mgbarụ na ọgbụgbọ. Vomiting nwere ike ịbụ mgbe niile na nwere ihe ọjọọ.
Na steeti a, njiri mara mmụba ahụ, oke nrịgo nke ọrịa na-efe efe, yana mmepe nke akara dyspeptik, ngosipụta anụ ahụ.
Esi mata ọrịa?
A ga - ebu ụzọ chọpụta nrịanrịa nke ọrịa pancreatitis na ndabere nsogbu ndị ahụ metụtara onye ọrịa, nyocha ya, yana ịchọpụta ihe mgbaàmà bụ oria. Ọ bụrụ na onye ọrịa ahụ tụrụ ntụpọ na ọbara mgbali elu, a ga-edobe ya na enwere tachycardia na hypotension. Iji kwado nchoputa a choro, odi nkpa ime otutu ulo nyocha:
- nnwale ọbara na mmamịrị;
- nyocha nke ultrasound nke eriri afọ;
- multispiral agbakọrọ tomography (MSCT);
- onyonyo ndọta (MRI).
N'oge ule ọbara n'ozuzu, enwere ike ịchọpụta mgbaàmà nke usoro mbufụt, nke na-egosipụta site na osooso nke ESR, yana mmụba na ọkwa nke leukocytes. Ihe omumu banyere ihe omimi nke ọbara ga - egosi mmụba nke amylase na lipase (nke bụ isi enzymes pancreatic), hyperglycemia na abụọ nke ihu abụọ. Na mgbakwunye, a ga-eme nyocha nke ịka nke enzymes na mmamịrị. Enwere ike ịba ụba ọrụ nke enzymes imeju, yana bilirubinemia.
Nlele anya nke ọrịa nwere ike mee ka enwee ike igosipụta mgbanwe ọrịa na parenchyma, mgbanwe nha nke gland, ọnya afọ, ọnya, ọnụnọ ma ọ bụ enweghị okwute n'ime akwara ndị ahụ.
Ọ dị mkpa iji duzie ọrịa dị iche iche banyere ọrịa pancreatitis nke nnukwu ọrịa na ọrịa ndị ọzọ:
- nnukwu cholecystitis;
- nnukwu appendicitis;
- akụkụ ahụ́ nile nke oghere;
- mgbochi ọrịa eriri afọ;
- ọria afọ ischemic abdominal syndrome;
- nnukwu eriri afọ ma ọ bụ afọ na-agba mmee.
Kedu ka ọgwụgwọ ahụ si dị?
Mgbe ị na-akwado nchoputa ya, dọkịta na-atụ aro ịbanye n'ụlọ ọgwụ na ngalaba ọgwụgwọ ma ọ bụ ngalaba ịwa ahụ. A na-egosi ndị ọrịa niile nwere ọrịa pancreatitis siri ike izu ike, a ga-eme ihe niile iji kwụsị nrịanrịa ahụ, na - eburu ibu ahụ site na gland ọrịa, yana ịmeghachite akụkụ ahụ.
N'ime oge a, ọgwụ mgbu dị mkpa, na ọgwụgwọ ahụ ga-abụ ọgwụ kpamkpam.
Usoro ọgwụgwọ ọgwụgwọ bụ isi gụnyere:
- mwepụ nke ihe mgbu dị ukwuu na antispasmodics, yana mgbochi novocaine;
- nnabata na ezumike nri, ntinye nke paịlị na-ekpo ọkụ iji mee ka iwepu ihe ngosipụta dị n’ọrụ peser. A na-enye nri dị n’ime nri, a ga-ewepụ ihe ndị dị n’ime afọ;
- nhọpụta nke deactivators nke gland enzymes;
- mmezi nke homeostasis, ọgwụ na infusions nke protein na saline ngwọta ga-achọ ebe a;
- ọgwụ metụtara mwepụ nke egbu egbu;
- Ọgwụ nje dị ka ihe mgbochi iji bụrụ ọrịa megide ọrịa na-efe efe, ọgwụ nje ga-aga ebe a.
N'ọnọdụ ụfọdụ, enwere ike igosipụta ọgwụgwọ ịwa ahụ. Therụ ọrụ ahụ nwere ike ịdị mkpa maka ekpughere okwute n'ime akwara mmiri, imubanye mmiri n'ime akwara ma ọ bụ n'akụkụ ya, yana e guzobe ọrịị nke akwara, ọnya afọ ma ọ bụ ọnya afọ.
Wa ahụ a ga-arụ na nnukwu ọrịa nke ọrịa ọrịa metụtara ọrịa gụnyere:
- igbapu endoscopic;
- marsupialization nke cyst;
- ihe ngbochu.
Mgbe ịchọpụta mpaghara akụkụ anụ ahụ nwụrụ anwụ, ọ dabere na ogo nke mbibi ahụ, enwere ike ịme necrectomy ma ọ bụ myirịta nke pancreas. Ọ bụrụ na achọtara okwute na pancreas, a ga-arụ ọrụ na dulong nke akụkụ ahụ.
Ha na-etinye aka na ịwa ahụ n'ọnọdụ ụfọdụ enwere obi abụọ na nyocha ahụ, enwerekwa ohere dị elu nke na-efunahụ ọrịa ndị ọzọ siri ike na-emetụta ịwa ahụ.
Mgbe usoro ahụ gachara, enyere ọgwụ mgbochi maka mmepe nke nnukwu nsogbu purulent-septic, yana usoro ọgwụgwọ iji weghachi ahụ.
Milddị dị nro nke nnukwu usoro nke pancreatitis adịghị enye maka ihe isi ike pụrụ iche na ọgwụgwọ, na nsonaazụ ahụ na-apụta nanị otu izu mgbe mmalite ọgwụgwọ.
Gịnị nwere ike ịbụ nsogbu?
Ihe ọghọm dị iche iche nke nnukwu ọrịa akwara bụ nnukwu ihe ọghọm nke ịmalite ọrịa siri ike. Ọ bụrụ na ọrịa butere, akwara na-egbu akwara ma ọ bụ etuto ahụ nwere ike ịmalite ịmalite. Ọnọdụ a na-eduga na ọnwụ nke onye ọrịa, ọ bụrụ na inyeghị ya nlekọta ahụike n'oge.
Site na usoro ịba ụba nke ọrịa pancreatitis, enwere ike ịmalite mmalite nke ọnọdụ ujo na otutu akụkụ ahụ. Na mgbakwunye, usoro pseudocystic nwere ike ịmalite etolite n’akwara ahụ, nke nwere ike ibibi ihe dị n’ọkpụkpụ ya na akwara. Ọ bụrụ na ebibie cysts ụgha dị otú ahụ, mgbe ahụ ascites na-apụta.
Ihe mgbochi
Ihe mgbochi bụ isi na mmepe nke nnukwu ọrịa ọria nkịta bụ ezigbo mma na nri na-edozi ahụ, nke na-enye ntaramahụhụ mmanya na-egbu egbu, ị smokingụ sịga, abụba, nnu na nnu.
Ọrịa kansa na - akpata oke mmerụ ahụ nwere ike ibute abụghị naanị ị abuseụbiga mmanya ókè, kama ọ bụ nsonaazụ nke otu ihe ọ alcoholụ -ụ na-aba n'anya ya na nri ndị nwere obere abụba.
Nnọọ nke ọrịa dị otú ahụ ga-adabere kpamkpam n'ụdị ya na usoro ọgwụgwọ eji, yana ọnụnọ nke nsogbu. Ọ bụrụ na ọrịa akwara na-apụta n'ụdị dị nwayọọ, mgbe ahụ ọ ga-adị mfe ịgbake na ya. Site na necrotic na hemorrhagic pancreatitis, ihe gbasara nke puru onwu bu ihe di elu.
Site na ọgwụgwọ ezughi ezu na ịhapụ idebe ọgwụ ndị dọkịta banyere usoro na nri, ịlaghachi azụ ma ọ bụ ntụgharị nke ọrịa ahụ n'ụdị na-adịghị ala ala nwere ike ịmalite.
